GEORGIAN GARDENS
NPI 1033410824
Skilled Nursing Facility in Potosi, MO

NPI Status: Active since November 09, 2010

Contact Information

1 GEORGIAN GARDENS DR
POTOSI, MO
ZIP 63664
Phone: (573) 438-6261

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  • Organization
  • Skilled Nursing Facility

About GEORGIAN GARDENS

This page provides the complete NPI Profile along with additional information for Georgian Gardens, a provider established in Potosi, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1033410824 assigned on November 2010. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Georgian Gardens. The authorized official of this NPI record is Benjamin Klein (Manager)

NPI
1033410824
Provider Legal Name
PHGG, LLC
Other Organization Name
GEORGIAN GARDENS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 GEORGIAN GARDENS DR POTOSI, MO 63664
Location Phone
(573) 438-6261
Mailing Address
7444 LONG AVE SKOKIE, IL 60077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2010
Last Update Date
03-25-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BENJAMIN KLEIN

Authorized Official Title
MANAGER
Authorized Official Phone
(847) 329-4100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
265516MEDICARE OSCAR/CERTIFICATION (06) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033410824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206381084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 1 + 0 + 8 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1033410824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972597318DEACONESS LONG TERM CARE OF MISSOURI, INC.
Organization
Skilled Nursing Facility1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 438-6261
1376896910MR. DAVID BURKE PTA
Individual
Physical Therapy Assistant1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 436-0691
1164961652GEORGIAN GARDENS OPERATIONS MANAGEMENT LLC
Organization
Skilled Nursing Facility1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 438-6261
1295276137 STACY NICHOLS COTA/L
Individual
Occupational Therapy Assistant1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 438-6261
1710458864GEORGIAN GARDENS OPCO, LLC
Organization
Skilled Nursing Facility1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 438-6261
1972265452GEORGIAN GARDENS HEALTHCARE LLC
Organization
Skilled Nursing Facility1 GEORGIAN GARDENS DR
POTOSI, MO 63664
(573) 438-6261

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033410824, enumerated in the NPI registry as an "organization" on November 09, 2010

The provider is located at 1 Georgian Gardens Dr Potosi, Mo 63664 and the phone number is (573) 438-6261

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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